How often do you exercise weekly?
0-1 times
2-3 times
4-5 times
6+ times
Have you used our workout programs?
Yes, often
Yes, occasionally
No, but interested
No, not interested
What type of workouts do you prefer?
Cardio
Strength
Flexibility
Mixed
What's your fitness goal?
Weight loss
Muscle gain
Endurance
General health
How did you hear about us?
Friend/Family
Social Media
Online Search
Other
Are you interested in a free consultation?
Yes, please
Maybe later
No, thanks
All set, how can we reach you?
Name
Email
Phone
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AxisPT Fitness
123 Fitness St, Wellness City, WX 12345
www.axispt.com
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